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A case of silicosis with Mycobacterium avium infection relapsed with lymphadenitis 1 year after the completion of initial treatment. 矽肺合并鸟分枝杆菌感染1例在完成初始治疗1年后复发并淋巴结炎。
IF 0.8
Respirology Case Reports Pub Date : 2024-12-03 eCollection Date: 2024-12-01 DOI: 10.1002/rcr2.70076
Taku Hatakeyama, Keiki Yokoo, Ryota Tatsuhige, Takayuki Nagao, Koki Kikuchi, Satoshi Ota, Gen Yamada, Hirofumi Chiba
{"title":"A case of silicosis with <i>Mycobacterium avium</i> infection relapsed with lymphadenitis 1 year after the completion of initial treatment.","authors":"Taku Hatakeyama, Keiki Yokoo, Ryota Tatsuhige, Takayuki Nagao, Koki Kikuchi, Satoshi Ota, Gen Yamada, Hirofumi Chiba","doi":"10.1002/rcr2.70076","DOIUrl":"10.1002/rcr2.70076","url":null,"abstract":"<p><p>A 71-year-old man with silicosis was treated for <i>Mycobacterium avium</i> infection. Antimycobacterial treatment for <i>M. avium</i> was terminated 1 year after a negative test result for the bacteria on sputum examination. One year following the treatment, the patient developed pneumonitis. In the sputum culture, growth of <i>M. avium</i> was not detected. Pneumonitis did not improve despite sufficient antibacterial therapy. Chest computed tomography scan revealed aggravated shadows of pneumonitis and swelling of supraclavicular lymph nodes. A lymph node biopsy was performed, and polymerase chain reaction testing revealed <i>M. avium</i> infection. We diagnosed the patient with pneumonitis and lymphadenitis due to recurrent <i>M. avium</i> infection. Antimycobacterial treatment with rifampicin, ethambutol, clarithromycin, and amikacin was initiated. Pneumonitis and the general status of the patient improved following the treatment. Lymphadenitis is rare in adults in the absence of any immunodeficiency condition. We speculate that silicosis is a risk factor for mycobacterial infection recurrence.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"12 12","pages":"e70076"},"PeriodicalIF":0.8,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Spontaneous resolution of a giant bulla in a patient presenting with COVID-19 with presumed superadded bacterial infection. COVID-19患者大球囊自发消退并推测有额外细菌感染。
IF 0.8
Respirology Case Reports Pub Date : 2024-12-03 eCollection Date: 2024-12-01 DOI: 10.1002/rcr2.70074
Ian Y H Chan, Keir E J Philip, Thomas Tsitsias, Carl Reynolds
{"title":"Spontaneous resolution of a giant bulla in a patient presenting with COVID-19 with presumed superadded bacterial infection.","authors":"Ian Y H Chan, Keir E J Philip, Thomas Tsitsias, Carl Reynolds","doi":"10.1002/rcr2.70074","DOIUrl":"10.1002/rcr2.70074","url":null,"abstract":"<p><p>Bullous emphysema is a chronic disease characterized by bullae, or air spaces in the lungs. Giant bullae exceed one-third of the hemithorax volume and are usually treated via bullectomy. We present the case of a 35-year-old man who presented to hospital with a history of COVID-19 infection and seven days of chest pain and dyspnoea. A giant left upper lobe fluid-filled bulla was identified on computed tomography. He was discharged with a course of antibiotics. A radiograph performed one month after presentation revealed an unchanged giant bulla. However, a chest radiograph and computed tomography nine months after initial presentation showed complete spontaneous resolution of the bulla. Bullectomy was deemed unnecessary. Cases of spontaneous bullae resolution, or autobullectomy, are rare. Our case implicates the role of infectious processes in autobullectomy. Serial imaging monitoring and delayed cardiothoracic assessment may be prudent to assess bullectomy necessity.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"12 12","pages":"e70074"},"PeriodicalIF":0.8,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tracheobronchial amyloidosis following COVID-19 infection. COVID-19感染后的气管支气管淀粉样变。
IF 0.8
Respirology Case Reports Pub Date : 2024-12-03 eCollection Date: 2024-12-01 DOI: 10.1002/rcr2.70073
Chathurangi Angammana, Sameera Gamlath, Ravini Karunathilake, Shehan Silva
{"title":"Tracheobronchial amyloidosis following COVID-19 infection.","authors":"Chathurangi Angammana, Sameera Gamlath, Ravini Karunathilake, Shehan Silva","doi":"10.1002/rcr2.70073","DOIUrl":"10.1002/rcr2.70073","url":null,"abstract":"<p><p>Deposition of amyloid proteins in extracellular space can occur due to uncontrolled inflammatory processes. Tracheobronchial amyloidosis (TBA) is a rare form of such disease. A 68-year-old woman was evaluated for chronic cough following a COVID-19 infection. Although post-viral sequelae were suspected, further investigation revealed TBA. This condition involves amyloid deposits within the airways. The temporal association with COVID-19 raises a potential etiological link, suggesting viral-induced inflammatory or immune-mediated processes may play a role. This case underlines the need to consider rare etiologies like TBA in patients with unresolved respiratory symptoms post-COVID-19.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"12 12","pages":"e70073"},"PeriodicalIF":0.8,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11614462/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Histiocyte-rich ROS1-rearranged inflammatory myofibroblastic tumour of the trachea: A rare neoplasm presenting with asthma-like symptoms. 富含组织细胞ros1重排的气管炎性肌纤维母细胞瘤：一种罕见的肿瘤，表现为哮喘样症状。
IF 0.8
Respirology Case Reports Pub Date : 2024-12-03 eCollection Date: 2024-12-01 DOI: 10.1002/rcr2.70078
Chin Tong Kwok, Jason Cheuk Ho Tsang, Mary Lam, Sandy Sze Ki Ho, Chi Sum Yuen, Yiu Cheong Yeung
{"title":"Histiocyte-rich ROS1-rearranged inflammatory myofibroblastic tumour of the trachea: A rare neoplasm presenting with asthma-like symptoms.","authors":"Chin Tong Kwok, Jason Cheuk Ho Tsang, Mary Lam, Sandy Sze Ki Ho, Chi Sum Yuen, Yiu Cheong Yeung","doi":"10.1002/rcr2.70078","DOIUrl":"10.1002/rcr2.70078","url":null,"abstract":"<p><p>Inflammatory myofibroblastic tumour is a rare tumour. We present an atypical case of Inflammatory myofibroblastic tumour which was trachea in location, histocyte rich and ROS1 rearranged. The patient presented with upper airway obstruction, which was an asthma mimic. The tumour demonstrated rapid recurrence after mechanical coring, which subsequently controlled with radiotherapy.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"12 12","pages":"e70078"},"PeriodicalIF":0.8,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Localization of micro bronchial stump fistulas via guidewire exploration: A case report. 导丝探查定位微支气管残端瘘1例。
IF 0.8
Respirology Case Reports Pub Date : 2024-12-03 eCollection Date: 2024-12-01 DOI: 10.1002/rcr2.70081
Jieqiong Wang, Yan Hang, Zhongliang He, Shunxin Xin, Congbin Peng, Guohong Mo, Weihua Xu
{"title":"Localization of micro bronchial stump fistulas via guidewire exploration: A case report.","authors":"Jieqiong Wang, Yan Hang, Zhongliang He, Shunxin Xin, Congbin Peng, Guohong Mo, Weihua Xu","doi":"10.1002/rcr2.70081","DOIUrl":"10.1002/rcr2.70081","url":null,"abstract":"<p><p>Bronchopleural fistula (BPF), a common complication of lobectomy, is a pathological communication between the bronchus and the pleural space. The bronchial stump fistula (BSF), which is located on the bronchial stump, is a specific type of BPF. BSF can be directly diagnosed via bronchoscopy. However, identification becomes difficult when the BSF is very small (less than 1 mm), referred to as micro BSF in this study because it cannot be found during bronchoscopic exploration. This clinical dilemma easily leads to misdiagnosis of BSF. In this paper, a new procedure for locating micro BSFs using guidewire exploration was reported. This innovative approach involves the use of a guidewire to detect suspected micro BSFs. If the guidewire successfully penetrates the bronchial stump, it indicates the presence of a micro BSF; otherwise, there is none. After precise localization of three micro BSFs, submucosal injection of lauromacrogol around them was performed followed by thoracic fenestration.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"12 12","pages":"e70081"},"PeriodicalIF":0.8,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Parsonage-Turner-syndrome associated with Mycoplasma pneumoniae infection. parsonage - turner综合征与肺炎支原体感染相关。
IF 0.8
Respirology Case Reports Pub Date : 2024-12-01 DOI: 10.1002/rcr2.70071
Fabian Leo, Christian Grohé
{"title":"Parsonage-Turner-syndrome associated with <i>Mycoplasma pneumoniae</i> infection.","authors":"Fabian Leo, Christian Grohé","doi":"10.1002/rcr2.70071","DOIUrl":"https://doi.org/10.1002/rcr2.70071","url":null,"abstract":"<p><p>Neurological complications in the course of community-acquired pneumonia indicate that <i>Mycoplasma pneumoniae</i> may be the causative pathogen. Parsonage-Turner-Syndrome, characterized by neuralgic shoulder pain and amyotrophy, has rarely been reported in this context.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"12 12","pages":"e70071"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11608758/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Confirmed Treponema pallidum pleural effusion in patient with known syphilis. 已知梅毒患者的确诊梅毒螺旋体胸腔积液。
IF 0.8
Respirology Case Reports Pub Date : 2024-11-30 eCollection Date: 2024-12-01 DOI: 10.1002/rcr2.70069
Rachel Shadbolt, Matthew Ing, Michaela Donaghy, Krist Ewe, Y C Gary Lee, Edward Fysh
{"title":"Confirmed <i>Treponema pallidum</i> pleural effusion in patient with known syphilis.","authors":"Rachel Shadbolt, Matthew Ing, Michaela Donaghy, Krist Ewe, Y C Gary Lee, Edward Fysh","doi":"10.1002/rcr2.70069","DOIUrl":"https://doi.org/10.1002/rcr2.70069","url":null,"abstract":"<p><p>Pulmonary and pleural involvement in <i>Treponema pallidum</i> infection is uncommon. Previously reported syphilis-related pleural effusions have been described largely based on clinical features combined with positive syphilis serology rather than the detection of <i>T pallidum</i> in pleural fluid or pleural biopsy. We report a case of secondary syphilis and confirmed syphilitic pleural effusion via thoracentesis.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"12 12","pages":"e70069"},"PeriodicalIF":0.8,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11608128/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Convex endobronchial ultrasound bronchoscope may enhance visualization and diagnosis by respiratory physicians: Clinical image of an endoscopic ultrasound with bronchoscope. 凸面支气管内超声支气管镜可增强呼吸科医生的可视化和诊断能力：带支气管镜的内窥镜超声临床图像。
IF 0.8
Respirology Case Reports Pub Date : 2024-11-25 eCollection Date: 2024-11-01 DOI: 10.1002/rcr2.70072
Suzuka Matsuoka, Yuki Takigawa, Ken Sato, Tomoyoshi Inoue, Hiromi Watanabe, Kenichiro Kudo, Akiko Sato, Keiichi Fujiwara, Takuo Shibayama
{"title":"Convex endobronchial ultrasound bronchoscope may enhance visualization and diagnosis by respiratory physicians: Clinical image of an endoscopic ultrasound with bronchoscope.","authors":"Suzuka Matsuoka, Yuki Takigawa, Ken Sato, Tomoyoshi Inoue, Hiromi Watanabe, Kenichiro Kudo, Akiko Sato, Keiichi Fujiwara, Takuo Shibayama","doi":"10.1002/rcr2.70072","DOIUrl":"10.1002/rcr2.70072","url":null,"abstract":"<p><p>Herein, we present the detection of two cystic lesions via the transesophageal route using endobronchial ultrasound and emphasize the fact that understanding the anatomy may enhance the diagnostic yield.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"12 11","pages":"e70072"},"PeriodicalIF":0.8,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11586573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adaptive servo-ventilation for the treatment of intrathecal baclofen-induced central sleep apnea: A case report. 自适应伺服通气治疗鞘内巴氯芬诱发的中枢性睡眠呼吸暂停：病例报告。
IF 0.8
Respirology Case Reports Pub Date : 2024-11-25 eCollection Date: 2024-11-01 DOI: 10.1002/rcr2.70052
Matteo Schisano, Alessandro Libra, Giorgio Morana, Carlo Vancheri, Lucia Spicuzza
{"title":"Adaptive servo-ventilation for the treatment of intrathecal baclofen-induced central sleep apnea: A case report.","authors":"Matteo Schisano, Alessandro Libra, Giorgio Morana, Carlo Vancheri, Lucia Spicuzza","doi":"10.1002/rcr2.70052","DOIUrl":"10.1002/rcr2.70052","url":null,"abstract":"<p><p>Baclofen is a common muscle relaxant agent used in a number of neurological disorders acting at central level and potentially causing adverse respiratory events, still largely unknown at therapeutic doses. We present the case of a young woman with spastic tetraparesis secondary to perinatal asphyxia treated with a standard dose of intrathecal baclofen who developed nocturnal symptoms, somnolence and memory loss during the day. Nocturnal cardio-respiratory sleep monitoring showed a high number of central sleep apneas (CSA). The patient was adapted and treated with a positive air pressure device, Adaptative Servo-Ventilator, specific designed to treat CSA particularly in patients with heart failure. The treatment was well tolerated and within few days CSA was reversed. The patient reported a feeling of restful sleep and disappearance of morning tiredness. The efficacy of the treatment was verified with nocturnal cardio-respiratory monitoring after 2 months and complete resolution of all symptoms was also confirmed.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"12 11","pages":"e70052"},"PeriodicalIF":0.8,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11588345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Unveiling the radiological odyssey: Navigating the interstitial with artificial intelligence. 揭开放射学奥德赛的神秘面纱：用人工智能导航间隙。
IF 0.8
Respirology Case Reports Pub Date : 2024-11-25 eCollection Date: 2024-11-01 DOI: 10.1002/rcr2.1413
Anna Russo, Vittorio Viglione, Linda Franzese, Vittorio Patanè, Tullio Valente, Fabio Perrotta, Alfonso Reginelli
{"title":"Unveiling the radiological odyssey: Navigating the interstitial with artificial intelligence.","authors":"Anna Russo, Vittorio Viglione, Linda Franzese, Vittorio Patanè, Tullio Valente, Fabio Perrotta, Alfonso Reginelli","doi":"10.1002/rcr2.1413","DOIUrl":"10.1002/rcr2.1413","url":null,"abstract":"<p><p>This study examines the radiological and clinical evolution of a case involving mixed idiopathic pulmonary fibrosis and chronic hypersensitivity pneumonitis, utilizing conventional CT imaging and artificial intelligence tool. Through a series of exams and clinical assessments, the patient was followed for over 3 years, highlighting the challenge in differentiating these interstitial pathologies and the importance of a multidisciplinary approach. The radiological progression towards pulmonary fibrosis was correlated with clinical symptoms, emphasizing the significance of early diagnosis and regular follow-up. The combined use of advanced technologies offers a more comprehensive framework in managing complex lung diseases, enhancing the quality of care and understanding of interstitial pathologies.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"12 11","pages":"e01413"},"PeriodicalIF":0.8,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11588411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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